CompeerCorps Volunteer Monthly Report Form Name: * Friends Name:* Date* Total Hours with Friend: Email:* Please check off the kinds of activities that you and your friend participated in this month:MealsReligious ServicesMovies/PlaysShopppingOutdoor ActivitiesCommunity EventsHoliday ObservancesCompeer EventOther Are there any changes in your address? Please provide changes below in the commentsYesNo Any changes in your friend’s address? Please provide changes below in the commentsYesNo Did your friend’s case worker/therapist change? Please provide changes below in the commentsYesNo Has your friend been admitted/discharged from a psychiatric hospital? YesNo Would you like the Compeer staff to contact you? YesNo Would you like your friend’s therapist to contact you?YesNo Comments: SubmitReset
